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Home My WebLink AboutIMPV-06-2023-197778.TIF • Aa ('AlAWBA('Ot'NI . ' • 1 .f, 1'ublic Health Department tiuhdn�sion i EnvironmentalHealth DivisionI'INIi 377403106163 PO Box 3tt9,25 GovernmentDrive,Ne ttun,NC '_lir,SA I.t)I k Site Address: 4150 CARPENTERS COVE RD, CLAREMONT NC 28610 Name on Permit: STACY SIGMON Property Size: Acres 3.92 Directions: Oxford School Rd, left onto Bolick Rd, Right onto Carpenters Cove Rd Owner/Authorized Representative Acknowledgement of Permit Receipt VSS I certify that I am the owner or authorized agent(owner's authorization required)representing the owner or the property described above. A SS As the property owner or authorized representative, I have received the above referenced permit(s)as requested in the application for service RBPR-05-2023-44360.by the following method(s): Received in Person Facsimile Transmittal (Return form with signature required)_ Electronic Image Transmittal/E-mail (Return receipt required) iSS As the property owner or authorized representative I have reviewed and understand the specific conditions r of the permit issued, and further understand that all applicable regulatory requirements specified under the North Carolina Laws and Rules for Sewage Treatment and Disposal Systems(15A NCAC 18A.1900), and/or Well Construction Standards(I5A NCAC 2C.0100), shall apply to the issuance of this permit and the construction of the wastewater system andior water supply well permitted. Permit Issue Date: 06/12/2023 Owner/Authorized Representative Signature 5' c5' ? fl4fl- -J� Date 6-30-2023 ((// Documentation of Permit(s)Transmittal (permit transmitted by electronic or other means) Permit transmitted by (name of person sending permit) Signature C Date/Time Method: Fax 1 Email US Mail Other Owner's request to send by the above indicated method of transmittal in lieu of signature We wantt tto hear from yoaPlease ttake a few momentts tto complette our custtomer service survey att http://www.surveymonkey.com/s/EHCusttomerService 05-a / src9 e.' ,29 7/ cp.C4i1 f, (. 1 i.. ; 1/-3 el.,,,,,,,, (16.12 2021 1606 I 4 1.44"- • CATAWBA COUNTY Case# Public Health Department Subdivision IMPV-06-2023-197778 d . ...IAR Environmental Health Division PIN# 377403106163 • PO Box 389,25 Government Drive,Newton,NC 28658 LOT# • su Site Address: 4150 CARPENTERS COVE RD, CLAREMONT NC 28610 Name on Permit: STACY SIGMON Property Size: Acres 3.92 Directions: Oxford School Rd, left onto Bolick Rd, Right onto Carpenters Cove Rd Improvement Permit AN AUTHORIZATION TO CONSTRUCT MUST BE ISSUED PRIOR TO BUILDING PERMITS THIS PERMIT IS NOT FOR SEPTIC INSTALLATION Permit Category: New Septic Wastewater Flow 480 g.p.d Type of Facility: Primary Residence-SFD Basement? Yes Basement Plumbing? Yes Bedrooms: 4 Water Supply: Private Well Maximum Occupants: 8 INITIAL SYSTEM SPECIFICATIONS Proposed Wastewater System: 25% REDUCTION System Classification: IIIG -OTHER NON-CONY TRENCH SYSTEMS REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25%REDUCTION System Classification: IIIG-OTHER NON-CONY TRENCH SYSTEMS Permit Conditions: *DO NOT CUT OR FILL OVER SYSTEM AREA Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper drainage away from the septic system, including the direction of gutter flows or foundation drains,is not approved,and may result in failure to approve the initial system installation,or the suspension/revocation of existing permits. The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the applicant /property owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met. This Improvement Permit is subject to revocation if the site plan,plat or the intended use changes,or if site conditions are altered. The Improvement Permit is not affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina'Laws and Rules for Sewage Treatment and Disposal Systems' (15A NCAC 18A.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of time. Any permit issued for a conventional system may be used for an accepted system without Environmental Health authorization or permit modification.Please notify Environmental Health of this change prior to system installation. ,, �✓4es rrr 06/12/2023 Authorized State Agent Permit Issuance Date 6/12/2028 Pemtit Expiration Date No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. ,hp,uuu 06/23/2023 13:50